Chest Pain

  • What are common causes of chest pain?

    Chest pain can be caused by a number of medical conditions. It is important to exclude important causes of chest pain including angina (caused by coronary artery disase) which is caused by a furring of the coronary arteries.

    Other common causes of chest pain include musculoskeletal chest pain, neuropathic pain, respiratory disease, acid reflux, intra-abdominal pathology and other underlying metabolic causes.

  • Investigations

    To determine the cause of your symptoms, Professor Ruparelia shall take a detailed history and arrange appropriate investigations to aid diagnosis and to guide ongoing management.

    Common investigations include an ECG, ultrasound study (echocardiogram) and blood tests.

  • Coronary Artery Disease

    The most common cause of cardiac chest pain is coronary artery disease. This is the furring of the coronary arteries due to atherosclerosis. If the narrowings caused by this process are severe, this can cause limiting exertional chest pain - angina.

    If there is clinical concern with regards to this, Professor Ruparelia may advise further investigations including Stress Testing, CT coronary angiogram or a Coronary Angiogram

  • Coronary Artery Disease - Management

    The aims of management are to treat symptoms and reduce the risk of progression of disease and reduce overall risk.

    This involves the optimal management of cardiovascular risk factors:

    For the management of symptoms, initial treatments include the institution of anti-anginal medications. If symptomatic in spite of this Professor Ruparelia may suggest Coronary Stent Implantation / PCI



Professor Neil Ruparelia 2022